What is Juvederm Ultra, & Juvederm Voluma

Juvederm® Ultra

Juvederm® Ultra (also known as Juvederm®) is a next-generation, cross-linked hyaluronic acid dermal filler approved by the FDA in June 2006 for treatment of nasolabial folds.

Juvederm®Ultra adds volume to the face and smoothes moderate to severe facial wrinkles and folds. With advanced injection techniques, Juvederm® can also be used to lift and contour facial features.

Cross-linking refers to a process in which the individual chains of hyaluronic acid are bound or ‘cross-linked’ together, transforming the liquid hyaluronic acid into a soft gel. The firmness of the gel depends on the degree of cross-linking of the individual hyaluronic acid chains. The body metabolizes cross-linked hyaluronic acid more slowly, resulting in a longer duration of effect.

As an advanced, cross-linked hyaluronic acid, the results of a Juvederm® treatment will typically last up to a year or more. Results will vary depending upon injector technique, the facial area in which it is applied, and upon the individual’s muscle movement, skin and health characteristics. For example, in areas of the face where there is less exaggerated muscle movement, Juvederm® will often last longer. Regular BOTOX® treatments in conjunction with Juvederm®may help extend the duration of Juvederm®. Juvederm® is typically used to correct finer lines or for less bulking than Juvederm® Ultra Plus.

Juvederm® VOLUMA™

In October of 2013, the FDA approved the first and only Hyaluronic Acid filler, Juvederm®VOLUMA™ injectable gel, to instantly add volume to the cheek area. Hyaluronic Acid (HA) is a naturally occurring, hydrating substance found in your skin. As you age, you start to lose HA, which causes the skin to lose structure and volume. VOLUMA™ works to restore contour and a more youthful appearance by providing a subtle lift, for up to two years in patients over 21 years of age. VOLUMA™ is different than any other Juvederm® injectable gel filler product, in that VOLUMA™ is formulated to add volume to the cheek area, whereas other products target moderate to severe wrinkles and folds around the nose and mouth areas.

Juvederm® VOLUMA™ lasts longer than other HA dermal fillers, lasting up to two years! This means fewer injections and less overall downtime.

After 24 hours of treatment with VOLUMA™, you should be able to resume your normal activities. Side effects are moderate and generally last 2 to 4 weeks. Common side effects include temporary reactions at the treatment site such as tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching.

Your health care professional may use Juvederm® in combination with other dermal fillers and botulinum toxins to create a liquid face lift or non surgical facial rejuvenation.

What is Perlane-L

How does Perlane work?

Just like Restylane®, Perlane is a clear gel formulation of hyaluronic acid that is specifically formulated to act like your body’s own hyaluronic acid, adding volume and fullness to the skin.

The most commonly observed side effects are swelling, redness, pain, bruising, and tenderness at the injection site. These are typically mild in severity and resolve in less than 7 days in nasolabial folds.

WHAT MAKES PERLANE DIFFERENT FROM RESTYLANE?

What makes Perlane different than Restylane is the average size of the particles and the depth of injection, which means it’s a good choice for more severe facial wrinkles that benefit from a deeper injection into the skin.

63%, 71% and 75%

of patients maintained improvement for six months after just one Perlane treatment

PERLANE-L: A MORE COMFORTABLE WRINKLE TREATMENT EXPERIENCE*

If you want a more youthful appearance, but you’re concerned about the potential discomfort from treatment, you can get beautiful results and a more comfortable Perlane experience. By combining lidocaine with Perlane, Perlane-L helps reduce discomfort during and after treatment.

In clinical studies evaluating the Restylane family of products in laugh lines (nasolabial folds):

95% of patients reported significantly less pain during treatment with Perlane-Lvs. Perlane

Patients continued to experience less discomfort for up to one hour after treatment

We are now accepting new clients for Friday, August 14, 2015….SPECIAL PROMO! AT 15% OFF ANY PROCEDURE! We also have a point system…Each time you visit with us and touch-up is another visit, or 1 point, after 10 points you get a free visit on the house WHAT’S BETTER THAN FREE?

So have they or haven’t they? From fillers and freezers to paralyzing faces – what celebrities REALLY mean when they say they ‘haven’t had any work done’

By CATHERINE TOWNSEND

GUESS WHO TWEAKED?

Dolly Parton once famously said ‘there’s a reason the Hollywood Hills are in the same part of the country as Silicon Valley’. Simon Cowell says that he considers Botox as much a part of his routine as toothpaste.

But in an era where laser hair removal is considered a part of everyday grooming, ‘I haven’t had plastic surgery’, seems to translate to ‘I’ve never sliced into my face’. For most people Botox, fillers and laser treatments don’t count.

‘I think that the line is when you go under the knife,’ Los Angeles-based cosmetic surgeon Dr Alexander Rivkin tells MailOnline. The goal, he explains, is to ‘look like you haven’t had any work done.’

Some do flat-out deny it: Jennifer Lopez says she’s never had plastic surgery. Kim Kardashian blames her newly-plump lips on a bout of flu.

And when rumors swirled about her possible procedures, Megan Fox uploaded pictures of herself on her blog making different expressions and called it ‘Things You Can’t Do With Your Face When You Have Botox’.

But most people are more evasive. They may try to downplay the amount (Jenny McCarthy says she’s ‘team Botox’ but uses ‘very little’) it or say that they ‘tried’ it at some point in the distant past.

Nicole Kidman says she’s back to being ‘completely natural’ after trying Botox. Jennifer Aniston said that plastic surgery is ‘a slippery slope’ but admitted to being ‘obsessed’ with laser treatment.

Aging gracefully: Angelina Jolie Megan Fox and Jennifer Lopez have all stated publicly that the have never had plastic surgery

Injectables are still the most popular treatment. Proteins like Botox, Dysport and Xeomin paralyze muscles in the face to relax existing wrinkles and help prevent new ones from forming. They are often used in the frown lines, horizontal lines across the forehead, and crows feet – but can also be injected around the lips, the chin, and tip of the eyebrows to lift the brow.

As with many other procedures, the injector’s skill level is crucial to achieving a natural look. When too much product is pumped into the forehead, the eyebrows can raise in a permanently startled, deer-caught-in-headlights expression – and sometimes the forehead doesn’t move at all.

Lip service: Lisa Rinna has fought a very public battle with her lip injections and calls herself a ‘pioneer’, while Pamela Anderson has appeared in public with a noticeably fuller pout

Pillow talk: Madonna and former French first lady Carla Bruni have both appeared in public with suspiciously fuller faces

As we age, our faces get thinner as hyaluronic acid, the sugar molecule that holds water in the skin, starts to diminish. But fillers like Juvederm, Restylane, Belotero and Perlane can fill in laugh lines and crows feet, replace volume in cheeks, plump lips and even be used to sculpt the chin with non-permanent ‘chinplants’.

‘I think that the line is when you go under the knife. The goal is to look like you haven’t had any work done’

Some take it a step further and go for a liquid facelift, a general term that usually involves a combination of fillers and Botox and sometimes Sculptra – a longer-lasting poly-L-lactic acid that stimulates the body to produce its own collagen – to shape the face. There is virtually no downtime but, unlike with a surgical facelift, the fillers will eventually need to be topped up.

Injecting too many fillers can lead to the dreaded ‘pillow face’, a phenomenon that was the hot topic of conversation when the British Association of Aesthetic Plastic Surgeons met in 2011.

Fountain of youth? Both Kate Beckinsale and Victoria Beckham have stayed silent about surgery but manage to look better every year

Then there are the laser treatments, which for many celebrities are almost as common as waxing appointments. Lasers like the Aurora, Fraxel, IPL and Ultrapulse can tighten skin while treating redness, sun damage and fine lines – and also stimulate new collagen growth.

THE TOP FIVE NON-SURGICAL COSMETIC PROCEDURES

Botox

Hyaluronic acid

Laser hair removal

Microdermabrasion

Chemical peel

Chemical peels are also making a comeback. A solution is applied, and the old skin flakes off taking brown spots, wrinkles, and acne scars with it.

Peels can treat deeper sun damage than most lasers, and despite their slightly scary reputation some doctors feel that they can be safer than laser treatments for darker skin tones.

Those who want a nose job without the pain and obvious bandages can also now opt for the nonsurgical version: The ’15-minute nose job’ involves injecting tiny amounts of fillers like Radiesse or Artefill and can lift and straighten the tip of the nose, camouflage bumps or correct a deviated septum.

Below the neck, lunchtime lipo is also huge. CoolSculpt freezes localized fat cells so that they die, while Thermage uses radiofrequency, heat and light to shrink fat them.

Like many of us, celebrities often give another safe answer: They claim that they won’t rule out treatments ‘in the future’. Or, in the words of Heidi Klum, ‘ask me again when I’m sixty-five’

Dr. Kalovsky is a Maxillofacial Surgeon, making him able to literally dot every “line” and cross every T. In order to be a surgeon of any kind, there is no room for mistakes; which, sets Dr. Kalovsky apart from the rest, as he is able to clearly identify what needs to be done, along with the why, where, and how. Having observed other’s doing the very same procedures, it doesn’t come close Dr. Karlovsky’s perfectionist touch! Also the good doctor is in no rush, he makes sure that you are getting exactly what you want, where you want it, never rushing the procedure so that you, the patient, is happy and looking beautifully refreshed!

What is Restylane Silk?

Designed specifically for lips and the lines around them Restylane Silk has recently been approved for release in the United States! It’s the first and only FDA-approved product specifically designed for subtle lip enhancement and the smoothing of wrinkles and lines around the mouth in patients over 21 years of age.

How Does Restylane Silk Work?

Just like the other members of the Restylane family, Restylane Silk is a clear gel formulation of hyaluronic acid — a sugar that is naturally present in your skin.

WHAT MAKES RESTYLANE SILK DIFFERENT FROM OTHER RESTYLANE PRODUCTS?

Like other areas of the face, the lips and skin surrounding the mouth show signs of aging as an individual gets older. This often results in lip thinning, lost shape and an increase in vertical lines above the lip. Restylane Silk is designed specifically to provide natural-looking results in these areas. That’s why it’s made of smaller, smoother particles than those used in otherRestylane products.

What Results Can I Expect From Restylane Silk?

In a clinical trial, 98% of participants reported a visible increase in fullness two weeks after treatment. Because of the gel’s small, smooth particles, as well as the ultrafine needle designed for precision, results should appear more subtle than with other forms of lip augmentation like implants. You should expect natural looking results, with refined volume and definition. In general, those who use Restylane Silk can expect their results last roughly six months.

The liquid face lift is currently all the rage among Hollywood’s elite, and its popularity is understandable. It promises a more youthful appearance with no downtime, no anesthesia, and no going under the knife. There are even house parties devoted to facial treatments that utilize injectables for facial rejuvenation (though they are notrecommended). The most popular and well-known of these injectables is of course Botox.

However, Botox isn’t even half the story when it comes to injectables. More and more youth-seekers are using Botox in conjunction with dermal fillers to plump up, fill in, and re-contour the face.

It is important to know that not all injectable dermal fillers are created equal, and each has specific purposes for which it is best suited. The list below is not exhaustive, but does represent the most widely used dermal filler available for use in the United States.

The Fillers

Juvederm
Juvederm is a dermal filler used to fill and smooth moderate to severe facial wrinkles and folds. It is available in modified versions which are useful for adding volume to lift and contour the face. Juvederm is made of hyaluronic acid, a natural substance in the body that helps maintain skin volume and hydration as well as joint lubrication and cushioning. Hyaluronic acid retains moisture, absorbing more than 1,000 times its weight in water. It also binds with collagen and elastin, transporting essential nutrients to these fibers which make up much of the support structure of the skin.

The hyaluronic acid in Juvederm and the other dermal fillers listed here is not derived from animal sources.

Restylane
Restylane is also made from hyaluronic acid, but is used mostly for moderate facial lines and wrinkles as opposed to lifting and contouring purposes. Restylane is often used in conjunction with Botox to enhance and extend the life of results.

Perlane
Perlane is made by the same company (and from the same hyaluronic acid) as Restylane. The difference is that the gel particles are larger and, therefore, Perlane is more effective at filling in deeper folds and achieving increases in facial fullness. Perlane is also often used to augment lips and other areas of the face that could benefit from a restoration of youthful volume.

Radiesse
Rather than hyaluronic acid, Radiesse is made from calcium-based microspheres suspended in a water-based gel. Radiesse provides both immediate and extended results because it stimulates production of collagen and encourages tissue regeneration. It is most commonly used for the smoothing of nasolabial folds and marionette lines, for cheek augmentation, and to plump up sunken areas below the eyes.

Artefill
Artefill is the first and only non-reabsorbable dermal filler to be approved by the FDA. Its claim to fame is that it provides a permanent support structure for lasting wrinkle correction, which means that its effects are both immediate and long-term. Artefill is made of polymethylmethacrylate (PMMA) microspheres, a material that has been used for years in surgical implants. However, since it is not a natural substance, there is a risk of allergic reaction. Because the results are considered to be permanent, physicians using Artefill generally prefer to under-fill on the first treatment, adding more at a subsequent appointment, if needed. Generally, full results are seen within six months of the procedure.

Sculptra
Sculptra is generally used as a treatment for facial lipoatrophy, the loss of fat beneath the skin that sometimes causes sunken cheeks, indentations, and hollow eyes. The main component of Sculptra is poly-L-lactic acid, a bio-compatible substance that does not cause damage to surrounding tissues. Unlike other dermal fillers, Sculptra does not produce immediate results. It works by stimulating collagen production, so results appear gradually over a period of a few months. Three to five treatments are usually required, and results can last up to two years or more.

Autologous Fat
Autologous fat is simply fat harvested from one’s own body. Its use eliminates the risks of allergic reaction or rejection by the body, since it is one’s own tissue. However, not all of the live fat cells survive when transplanted into the new site, so a fairly high rate of re-absorption is to be expected. Because of this, the physician will usually overfill the area being treated, which can leave the patient with a result that may look — at least temporarily — abnormal.

Note: That as modern dermatology advances, liquid facelifts are no longer limited to just Hollywood’s elite. People everywhere are flocking into medical offices, salons and the like that offer these services. Also note that these services are not just for women. Men want to look better too! Call us for your turn to look the very best that you can be! www.millbasinaestheticgroup.com (917)-776-5683, (718) 531-4353

Did you know that even our beautiful Marilyn Monroe had plastic surgery and some tweaks along the way? Take a look…

The files are said to support long reported rumours that the Hollywood star went under the knife long before it became a regular occurrence for actresses.

The documents also include X-rays of Monroe’s skull and are expected to sell for up to $30,000 when they go under the hammer at Julien’s auction house in Beverly Hills next month.

Notes from the office of Hollywood plastic surgeon Dr Michael Gurdin, who Monroe first saw in 1958, suggest that her chief complaint was “chin deformity”.

They detail that she had undergone a cartilage implant procedure in her chin in 1950 but it had slowly begun to dissolve.

A spokesman for Julien’s said: “Those with knowledge of the implant procedure have explained that this was done in association with a tip rhinoplasty, a procedure involving the tip of Marilyn Monroe’s nose only.”

The final medical entry was on June 7, 1962, recording a fall in the middle of the night which resulted in swelling of the nose. Six X-rays show her nasal bones and teeth. She suffered a minute fracture to her nose.

Doctors used the alias “Joan Newman” on the X-rays and listed her height as 5ft 6ins, and her weight as 115lb.

The following day Monroe was fired from the film Something’s Got to Give.

She died on August 5, 1962 from an overdose of barbiturates at the age of 36.

Martin Nolan, executive director of Julien’s, said: “Nobody really thought about Marilyn Monroe having plastic surgery. It was always speculation, did she or didn’t she? They thought she was such a natural beauty, they didn’t want to believe.”

The medical records also show that Monroe suffered a bout of neutropenia, an abnormally low number of white blood cells that fight off infection, while in the UK in 1956. The following year she had an ectopic pregnancy in New York.

Just goes to show you that even in the 1950’s when plastic surgery and tweaks were in its infancy, it was still done, and judging by how Marilyn turned out, it was done very well at that. Naturally we are not saying that everyone should go under the knife, but in realty, today you don’t even have to. Ahhhhh kudos for modern aesthetics!